Seniors Wellness Group, P.C. in Royal Oak - Physician Assistant
Seniors Wellness Group, P.C. - NPI 1568419240
Seniors Wellness Group, P.C. is a Physician Assistant in Royal Oak, Michigan. Seniors Wellness Group, P.C. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Seniors Wellness Group, P.C. is 1568419240. The last update date is 2022-07-08.
Seniors Wellness Group, P.C.'s current location address is 221 S Main St, Royal Oak, Michigan. You can contact this provider via phone number 2483986459. The mailing address for Seniors Wellness Group, P.C. is 221 S Main St, Royal Oak, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Seniors Wellness Group, P.C. |
|---|---|
| Address | 221 S Main St, Royal Oak, Michigan |
| Phone Number | 2483986459 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kotlarz Michael Gregory |
| Credentials | PH.D. |
| Telephone Number | 2483986459 |
NPI Number Detail
| NPI Number | 1568419240 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2022-07-08 |
Provider Mailing Address Detail
| Address | 221 S Main St |
|---|---|
| City | Royal Oak |
| State | Michigan (MI) |
| Post Code | 480672611 |
| Phone Number | 2483986459 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Seniors Wellness Group, P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Seniors Wellness Group, P.C. has been assigned the NPI (National Provider Identifier) 1568419240. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Seniors Wellness Group, P.C.?
The Seniors Wellness Group, P.C. is physically situated at 221 S Main St, in the city of Royal Oak, state of MI, with the postal code 480672611.
What is the Seniors Wellness Group, P.C.'s specialty and taxonomy code?
The Seniors Wellness Group, P.C.'s specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Seniors Wellness Group, P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Seniors Wellness Group, P.C. is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Seniors Wellness Group, P.C.'s 1568419240 issued?
The Seniors Wellness Group, P.C.'s 1568419240 was issued on 2006-05-28.
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